June 5th - June 6th 5:30PM – 7:30PM
WHERE: Licking Heights High School Main Gym WHO: Girls and Boys in Grades K – 6 COST: $30 Learn cheerleading fundamentals, proper athletic stretching and conditioning, cheers, chants, gymnastics & stunting from the Licking Heights Cheer Coaches and Team. PRICE INCLUDES: CAMP, T-SHIRT & CHEER AT A VARSITY FOOTBALL GAME Please return the bottom of this form with check to: Licking Heights High School Little Hornets Cheer Camp 4000 Mink Street S.W. Pataskala, OH 43062 Check for $30 should be made payable to: Licking Heights Cheer Call Coach Sindy with any questions at 937-838-3233
[email protected] --------------------------------------------------------------------------
K-6 GRADE REGISTRATION FORM
Camper Name__________________________________________________________________ Age________________ Upcoming Grade________________ Female/Male________________ Address_______________________________________________________________________________________ Parent/Guardian Name_______________________________________________ Phone______________________ Parent E-mail Address____________________________________________________________________________ Emergency Contact__________________________________________________ Phone______________________
I hereby give my permission for emergency medical treatment for ___________________________________ (camper’s name) if I cannot be reached. I release Licking Heights High School, staff, coaches, cheer team and all volunteers for the Licking Heights Little Hornets Cheer Camp, from any and all liability from injury and illness which may be incurred while at camp. Parent/Guardian Signature___________________________________________________________________